Discussion 300 words. make sure you provide 2 references and utilize



 What is the differential diagnosis?

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 What would be any further screening  or treatment options? 

What is her risk of developing breast cancer?  

A 37-year-old woman G2P2 presents with a lump in her left breast. Her  husband noticed it recently and she is concerned, especially as she had  an aunt that had breast cancer and thinks that a great-grandmother or  some other ancestor may have died of breast cancer as well. Both of her  children (9 and 7) were delivered without complication and she breastfed  “for well over a year” with each. She has no other significant PMH or  allergies. She is 5’ 6” tall, weighs 144 pounds and has a BMI of 22 and  works as an office manager. She is a non-smoker, considers herself to be  an “almost” vegetarian and has a glass of wine many evenings with  dinner. She has regular physicals and is up to date on pap smears which  have always been normal. Meds include a daily multi-vitamin and  occasional acetaminophen for tension headache or ibuprofen during her  period. Upon examination, the lump is discovered. It is firm and near  the surface and no other masses are discovered. The lump is aspirated,  and an opaque liquid is removed. Following this procedure, the lump has  vanished.